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Bama Heart Doc, P.C.

Details

Name: Bama Heart Doc, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 30 Mar 2011 (14 years ago) (Companies founded in March 2011)
Entity Number: 000-007-887
Register Number: 000007887
ZIP code: 35401 (Companies in Tuscaloosa, 35401)
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Registered Office Street Address: 1705 UNIVERSITY BOULEVARDTUSCALOOSA, AL 35401
Authorized Capital: 100 @ $1.00 PV

Activities MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790057420 2012-01-26 2012-01-26 100 RICE MINE ROAD LOOP, SUITE 104, TUSCALOOSA, AL, 354062425, US 100 RICE MINE ROAD LOOP, SUITE 104, TUSCALOOSA, AL, 354062425, US

Contacts

Phone +1 205-342-2552
Fax 2053458365

Authorized person

Name GEORGE P HEMSTREET IV
Role PHYSICIAN/OWNER
Phone 2053422552

Taxonomy

Taxonomy Code 207RI0011X - Interventional Cardiology Physician
Is Primary Yes

Agent

Name Role Address
HEMSTREET, GEORGE P IV Agent 1705 UNIVERSITY BOULEVARDTUSCALOOSA, AL 35401

Director

Name Role Address
HEMSTREET, GEORGE P IV Director 1705 UNIVERSITY BOULEVARDTUSCALOOSA, AL 35401

Incorporator

Name Role Address
REILLY, JAMES C Incorporator 1130 22ND ST S RIDGE PARK STE 4000BIRMINGHAM, AL 35205

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State